BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 4180734 · Received October 17, 2014

    Report

    Report Number
    3008262382-2014-01600
    Event Type
    Malfunction
    Date Received
    October 17, 2014
    Date of Event
    September 26, 2014
    Report Date
    September 29, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER, WHEN RECEIVED THE RIGHT REAR WHEEL IS CAMBERED INWARD ON THE BOTTOM AND THE SHROUD IS ALL OUT OF PLACE. FREIGHT DAMAGE. ALSO THE JOYSTICK HAS A REPAIR LIGHT AND AN ALARM DUE TO THE PROBLEM WITH THE CASTER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    662443 POWERED WHEELCHAIR 890.3860 ITI INVACARE REHABILITATION EQUIP AIRPTMBDY18

    Patients

    Seq Age Sex Outcome Treatment
    1 Other